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There are 13 item(s) tagged with the keyword "Costs".

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I Am! Nurse Advocacy

I Am! Clinical Advocacy       

The Advanced Plan for Health I Am! clinical advocacy solution transforms actionable insight into targeted action. We provide advanced and proven longitudinal analytics through our Poindexter platform and combine them with our proven I Am! nurse advocates, resulting in improved impact on the health and well-being of those who need it most.

Tags: Population Health Management, Data Analytics, Tool, Insight, Population, Poindexter, Predictive Modeling, Big Data, Trends, Healthcare, Conditions, Gaps in Care, Admissions, Readmission, Analysis, Individual health status, Costs, Risk Score, behavioral analytics, Hospital, Care Management, Health, Better Health, Lifestyle, Risk Prevention, Management, Compliance, Business, Guidance, Intervention, Benefits
Combating Opioid Addiction with Analytics and Case Management

The current opioid epidemic has shed light on the shortcomings of many wellness programs and the lack of preparedness by case management teams to handle chronic conditions and or patient behavior, such as addictive tendencies or duplicate therapy. But are case management teams solely to blame for lack of effective response to this costly health crisis? The simple answer is, no.

Many case managers do not have access to the data or tools required to employ a compelling and value-driven prevention model. Hence, what we see today is very little accountability or effective case management. What’s needed most is quality data to guide active engagement with patients.

Tags: Opioid, Addiction, Data, Big Data, Predictive Analytics, Account Management, Health Plan, Insurers, Healthcare, Brokers, Payers, Third Party Administrators, TPA, Epidemic, Case Management, Care Management, Care Manager, Wellness Program, Group Benefits, High Cost Claimants, Costs, Chronic Conditions, Behavior, Duplicate Therapy, Rx, Patients, Advanced Plan for Health, Actionable Insight, Health Intelligence, Poindexter, Self-Insured, Health Plan Sponsors, Catastrophic Medical Events, Drug Costs, ER Utilization
The Benefits to Brokers, Self-Funded Employers of Leveraging Healthcare Quality Transparency

When the success and shortcomings of these healthcare providers and facilities is made public, it helps to foster an arena for constant competitive improvement in the marketplace. Providers and facilities are made more accountable and healthcare consumers get the proverbial “bigger bang for their buck."

Tags: Health Plan, Costs, Benefits Managers, Self-Funded, Medical Procedures, Healthcare Transparency, Data, Group Benefits, Outcomes, Healthcare Services, MPIRICA, Physician, Surgery Quality, Employers, Population Health Management, Data Analysis
Informed and Healthy Employees Make for Healthy Benefit Plans

Employers have found that it is not only the catastrophic conditions inherent in the high risk employee cohort, but also individuals who have reached the high risk group as a result of many different health issues (co-morbidities), lacking a personal physician, and inappropriately using the hospital or emergent care services for preventable problems. Plan members who are bouncing from one physician to another, because they may not understand what they need or where to obtain the requisite services, also present opportunities to improve clinical and financial metrics.

 

Tags: Population Health Management, Healthcare, Wellness, Health Status, Health, Behavior, Education, Support, Employers, Health Plan, Nurse Care, PHM, Healthcare System, Illness, Diagnose, Cancer, Chronic Condition, Diabetes, Dementia, Network, Treatment Plan, Provider, Medicines, Treatments, Physician, Health Plan Members, Clinical Metrics, Financial Metrics, Health Awareness, Data Analytics, Predictive Analytics Engine, Costs
The Key to Retaining Self-funded Clients

It’s no secret that U.S. healthcare costs have skyrocketed in recent decades. As a result, employers are demanding more strategic guidance and rigorous data analysis to help them better manage their health plans. 

Tags: Self-Funded, Healthcare, Costs, Employers, Data Analysis, Health Plans
The Self-Insured Employer: By The Numbers

The further we venture into our modern healthcare system, it becomes more apparent that the self-insured employer understands their potential to slash healthcare costs by creating and effectively implementing custom population health management programs. This is not so surprising of a trend, considering that health policy architects designed the Affordable Care Act and quality-based reimbursement initiatives to stem rising healthcare costs through population health management, as we reported in our ebook, "The New Broker."

Tags: Population Health Management, Self-Insured, Employer, Healthcare, Costs, Affordable Care Act, Medical Plan, Health Insurance, High Cost Members, Wellness, Disease Management, ROI, Employee, Data, Trends, Leadership, Brokers, Benefits Management, CEO, CFO
How The New Broker Can Take The Lead With Predictive Modeling

Data analytics is the current and most effective means to achieving population health management, but let’s face it: To many employers, population health management is merely a health-benefits catchphrase, an empty expression that represents a goal but lacks the means to achieve it. However, in the right hands, data analysis is much more than that. Data analysis gives brokers the edge to fulfill population health management goals by providing common-sense human interactions to take action on the steps identified for plan performance.

Tags: Data, Analytics, Population Health Management, Employers, Health-Benefits, Health Plan, Data Scientist, Solution, Self-Insured, Outcomes, Healthier, ROI, Disease Management, Predictive Modeling, Trends, Costs, Company Health, Risk, Gaps in Care, Care Gaps, Predict Conditions, Admissions, Re-admissions
New Year's Company Resolutions

Most company resolutions come in the form of strategies and goals that become the focus for the year ahead. They include wellness programs for employees, benefit changes that will hopefully inspire amendment to employee behavior and “better pricing” from providers and networks.

Tags: Companies, Employee, Health, Health Plan, Costs, Wellness Program, Networks, Providers, Health Insurance, ER
Three Ways To Improve Employee Health, Reduce Costs

From our article in Information Week: Chances are 10% of your employees are generating 70% of your company's healthcare costs. Analytics and partnerships can improve their health and reduce your expenses.

Tags: Healthcare, Costs, Rise, Employers, Self-Funded, Health Plan, Individual Health Status, Company, Data, Identify, Risk, Population Health, Bottom Line, Platform, Analysis, Health Risk, Financial, Dependents, Evidence Based, Providers, Insurance, Medical, Pharmacy, Healthier, Physicians
By Rich Williams - Principal at APH
Poindexter Predictive Modeling Engine

Poindexter, our data analytics risk engine custom-built for population health management. This tool provides dynamic, reliable insight into your population. With Poindexter you have access to essential insights in just a few simple clicks, whether you are at the strategic, provider or clinical user level. With Poindexter, you have the guidance to work smarter and stay focused without losing the “big picture” perspective. Macro trends can be detailed and compared over time with the ability to drill to specific drivers in minutes—all at your fingertips; no need to wait for answers you need today to stay on track.

Poindexter enables revolutionary predictive modeling by looking at the whole individual, as well as group trends, by examining hard data in a practical format and factoring in the impact of rapid changes in healthcare. The result is the ability to predict conditions, trends, gaps in care, admissions and re-admissions- six to 12 months in advance. This analysis of individuals within a population ultimately identifies opportunities and risks; key information in the creation of APH's customized action plans.

Tags: Population Health Management, Data Analytics, Tool, Insight, Population, Poindexter, Predictive Modeling, Big Data, Trends, Healthcare, Conditions, Gaps in Care, Admissions, Readmission, Analysis, Individual health status, Costs, Risk Score, behavioral analytics, Hospital, Care Management, Health, Better Health, Lifestyle, Risk Prevention, Management, Compliance, Business, Guidance, Intervention, Benefits

Displaying: 1 - 10 of 13